CMS data shows Waunakee Valley Senior Living earning a D grade with a score of 44/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Waunakee Valley Senior Living, with 3.19 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 37 deficiencies at Waunakee Valley Senior Living, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: pasarr screening for mental disorders or intellectual disabilities.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.19 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.67 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.02 | 2.4 | Below Average |
| Weekend Total Nursing | 2.77 | 3.8 | Below Average |
| Weekend RN Hours | 0.16 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesJan 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 22, 2025 · Pharmacy Service Deficiencies
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Jan 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jan 22, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.6% | 4.5% | Better |
| Falls with major injury | 2.2% | 3.0% | Better |
| On antipsychotic medication | 20.0% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.4% | 14.0% | Better |
| Excessive weight loss | 2.3% | 7.5% | Better |
| New/worsened incontinence | 26.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $41,501
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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